Individual provider Active NPI

Lee Ronald Ferguson, M.D./PH.D

  • General Practice Physician
  • Coral Springs, FL
National Provider Identifier
1336443704
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10132281-1205 Issued in UT
Practice address
11708 NW 27TH St
Coral Springs, FL 33065-3309
Phone
(352) 284-4657
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10132281-1205 UT Primary

Addresses

Primary practice location

11708 NW 27TH St
Coral Springs, FL 33065-3309

Mailing address

11708 NW 27TH St
Coral Springs, FL 33065-3309
Phone (352) 284-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10132281-1205UTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1336443704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 NW 27TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653309",
            "telephone_number": "352-284-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 NW 27TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653309",
            "telephone_number": "352-284-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LEE",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "10132281-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.